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POGG Canada » Published Reports
21
Apr 12

Ontario Healthcare Money Management: Fixing the Missing Link

Executive Summary:

This paper goes one step further than “The Drummond Report (Feb 2012).” It recommends that the Government of Ontario move as quickly as possible to broaden the application of its Patient-Based Payment strategy to encompass all Healthcare Service  Providers (HSPs). The proposed financial administration model retains the existing taxpayer funded healthcare system. However, it calls for discontinuing entirely the current practices of cost-based annual budgetary allotments for all non-OHIP healthcare programs, in particular, for those now under LHINs. It replaces them with a more transparent, accountable revenue-driven business model. This model is comparable, in many respects, to what already exists under the OHIP regime for physicians and prescription drugs. The underpinnings of this radical financial reform are:

1) Publication of a Schedule of Prices for all healthcare services (also known as Case Mix Groups - CMGs) deliverable to every patient, and

2) Replacement of the existing Health Card with a new ‘Smart’ OHIP Card.

The new ‘Smart’ OHIP Card will be the universal accounting platform to be used for billings and payments between all Healthcare Service Providers and the government.

Prudent money management of Ontario’s healthcare dollar will continue to be illusory until citizens and their elected MPPs can hold the government accountable, at the level of the doctor-patient relationship, for the costs of our publicly funded healthcare program. This accountability function will be strengthened by application of the cost performance data available from implementation of the new ‘Smart’ OHIP Health Card and the corresponding billing system. The current funding and financial administration practices for healthcare fail to satisfy this fundamental standard of accountability.

Click here to read the full report (PDF Format).

2
Aug 11

Report in Defense of the Reputation and Legacy of Dr. Charlotte Whitton

We call on all residents of Ottawa to support the legacy of this great woman. Her reputation and legacy should not be unfairly and posthumously tarnished. We ask Ottawans to take to heart the immortal words of Martin Luther King, Jr., “Our lives begin to end the day we become silent about things that matter.” Charlotte Whitton’s reputation matters – for if hers is so easily ruined and baselessly attacked, who among us may be next?

Click here for the full report (PDF)

2
Oct 10

A Way Forward: Canadians Speak Out on Aboriginal Issues

Report Released by the ad hoc POGG Aboriginal-Canada Think Tank Committee
Executive Summary:

This paper addresses the critical issues of First Nations’ healthcare, education, economic development, governance and the Indian Act as well as the tenuous relationship between First Nations and federal, provincial and territorial governments. The overarching principle of this paper is that all Canadians – First Nations and Non-Aboriginals – be treated equally.

 It is clear that education, employment and economic development on and off reserves are critical to the way forward on the issues detailed in this report. Training and apprenticeship opportunities must be created such that First Nations young people - Canada’s fastest growing demographic – can participate fully in natural resource and other developments in Canada.

 First Nations must be involved in federal, provincial and territorial decisions on healthcare. The Kelowna Accord should be revisited as it contains practical recommendations concerning First Nations health services. In addition, the 1996 Royal Commission on Aboriginal peoples and the Romanow Report state that an integrated partnership model is vital to the development of effective and efficient First Nations’ health policy.

The government should establish a Relocation Policy in conjunction with leaders of bands in remote locations. Band/reserve relocation to more suitable lands would improve opportunities for self-sustainment, healthcare, education and employment.

An important step in the way forward for First Nations would be that the government reaffirms the Royal Proclamation of 1763 by issuing, in consultation with the Aboriginal peoples, a modern Canadian Royal Proclamation that reflects 21st century language and issues. As part of the commemoration and celebration of Canada’s 150th anniversary, it is recommended that, as envisioned by William Commanda, Victoria Island, Ottawa be ceded to the First Nations for the ASINABKA National Indigenous Centre.

Implementation of the recommendations in this report should ease tensions between governments and First Nations and improve their socio-economic standards bringing them closer to those enjoyed by other Canadians. Additionally, Canada should become compliant with the UN Declaration on the Rights of Indigenous Peoples.

Click here to read the full report (PDF Format).